UnTWISTing the BALS: A study of predictive accuracy of clinical scoring tools for testicular torsion identification in adults

Abstract

Objective: Testicular torsion is an uncommon but time-critical condition in EDs. If the diagnosis is missed or delayed, there are significant medicolegal and patient fertility implications. Scoring tools are advocated for use in children but have limited validation in adults. The aim of the present study was to explore the predictive accuracy of the testicular torsion scoring tools, Testicular Workup for Ischemia and Suspected Torsion (TWIST) and Boettcher Alert Score (BALS), in adult patients with a final ED diagnosis of torsion. Methods: All patients with an ED working diagnosis of testicular torsion were identified retrospectively. Data collected from digital medical records included demo..